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Grant Related - BOCC (003)
GRANT COUNTY BOARD OF COUNTY COMMISSIONERS I1�1C�'�':� To: Board of County Commissioners From: Janice Flynn, Administrative Services Coordinatorce Data March 19, 2021 Re: Authorization for Release of BOCC Approved Funds, Dept of Commerce, Emergency Solutions Grant #20-4613C-100, Reimbursement #2, City of Moses Lake, Request #2 The City of Moses Lake has requested reimbursement for the above -referenced grant, per the contracted guidelines in the e amount of $25,282-25. The invoice and supporting documentation is attached for review. I am requesting the release of funds for payment to City of Moses Lake in the amount of $25,282.25. Thank you. Datc-d this clay- of Vk.20- 4 Board Of COUnly Coin in it ssioners Grant COUnty. \k"ashington Approv- e- Digipar bsLaiji Dist # 1 Dist 41 Dist #1 Dist # Dist #2 Dist #2 Dist 0. Dist #3 Dist. #3 '�T TO Grant County Atte-, Janice Flynn Via EMAIL 1-11 F* W COVID - 19 EMERGENCY SOLUTIONS GRANI� Description Amount Subcontract work for Grant County Dept of Commerce Contract 20-4613C- 100 Homeless outreach and chronic homeless shelter pro ram' Admin- Housing & Grants Coordinator ........... - ... ........ $3660.25 80 Idours @ 4.5.75/hr Hape Source- Shelter Management ... ....... - - ------_--- $13f 114.99 P 1. a 11 c 1- fic Security- Shelter Security $6,619.77 . .. ..... . Ba 11 s .. i n Propane- Operational Supplies - -------B ---------- --- ---- -- ------ . .......... ... $104,.86 ...... ...... . ......... - - ------- --- --------- . ....... . . ... . .. .......... asin Refrigeration and HeatingProfessional Services for Operations - .Bassn.. . ......... * ...... -- - --- ---- ------- . $633.87 ------ ------- -- -------- -- 1. S e p -, t " I c- Operational Expense --------- $L029�,80 Lowes- Operational Supplies $1 1&71 -_---------------- . ....... . .. ............. ... .. . ...... .... ... .......... ...... REFERENCEU M BE -R* 110-000-33321 -019-11000MO896-00 0 N PAYM ENT TO ENSURE, A PROMPT RESPONSE men t 1s due w 30 days of involve date, ---- ------- Balance u5,2824 Make all checks 1p'j o. C ty se. _a k--or-ca1l0,7-37or,37-1.9--fo pay with -credit card. If you have any questions concerning this invoice, contact Finance Department at 509.764.3732 or TOTALS1 $114.58,768.00 $31,200.0- $2.5,282.25 $1,402#285472, Match: Year/ Dollars l Codi rigPROGRAM APPROVAL (The indMdual signitm.g 4hia vruther warfarlig ttlgy ha%4 the aujhq ity jo sly this-mcher) DATE 7PRINTED NAtAE: ;SIGNATURE: DOC i}ATE CURRENT DOC, REFERENCE DOC NO VENDOR WMEER and SUFM ACCOUNT NO, ASDNUMRPR 1r>»NDOR MEgSKO; sun TRAILS MASTER SUR OR,I SUB QL SUGSia AlAOUNT IN dlo CODE INDEX .061 ACCT SIGNATURE of ACCOUNTING PRRPAAER FOR PAYMENT DATE - WARRA.NTTOTAL ACCOUPdi UG APPROVAL FOR PAYMENT DATE £.bthr ;ar WASHINGTON STATE k � s i iI ARTMENT OF COMMERCE 7 Ae! NGYNCtMeER Shoot Code Commerce Contract Number VOUCHER DISTRIBUTION 1030 Dorm 19 -IA 20-46130-100 DEPARTMENT OF COMMERCE INSTRUCTION TO vEtlpa,R 09 CLAIMANT, Ptd BOX 42525 Submit this [arm to claim payment for materials, merchandise or services.. OLYMPIA, WA 98504.2525 Show complete detail Cor each ltern. �iQt C�f1JJ tlxata [spa f�{srte in i tt�f t f C~11c�St.s Laky Atgtngttucert qywerrants thpy Free the authority Id do so res autabh►f firra�rntsection.. Thai individual signing bejok»rerein are proper charges for metarieis, Ei P.Q. Bax 1679 mer setvid furnisMesi tt3 tha State of JaUliindtarr, grid thatstl goods furnisher! Antlior servisarenbee€z Moses Lake WA 98687 p€ovid� vtithDO., discrirnirtation tr causa of age, sax; Iparitgl status, rata, e€eetl, c€Igr, national origin, handicap, religion or Viatnam era or r"isahled veterans status, Cantact Person: Te 1Or Burton By; Phone: 509-764»3742 (SIGN 1N SLUE Jn11�c) EtilailFarEcicsyOfrnt.am Contract Period, 7/15/2020-918612022 REPORT PERIOD: T Tt } (€JATE) DATC DESCRIPTION BUI)GEr PREVI011S4Y REQUESTED AMOUNT THIS INVOICE AWARD REMAINING t3.ALANCE Admin $94,000.00 $3,660.25 $9t1, 39.75 "S $105,000.00 $105,000.00 outreach $10%000.00 $1 QS,OQq.r.1[ Shelter Case Management $236,000.,00 $9,699.25 $13,144+.9 S213,155.76 5helterOperations $41.8,768.00 $21,500.78 $$,477.01 $388,790.21 Rapid. Re -Housing Case Management $105,000.00�y y�105y00U. �0 Rapid Re•Hausing Rental Assistance $ 12)000.00 $2.12,000.00 Rapid Rehousing Other Ffnandal Assistance 2t Q00, $2 X0.00 Prevention Case Management. $76,000:00 $26,000.00 Prevention dental Assistance .$1051000100 $105,000.00 Prevention Other Financial Assistance $26,000X0 $261000,00 TOTALS1 $114.58,768.00 $31,200.0- $2.5,282.25 $1,402#285472, Match: Year/ Dollars l Codi rigPROGRAM APPROVAL (The indMdual signitm.g 4hia vruther warfarlig ttlgy ha%4 the aujhq ity jo sly this-mcher) DATE 7PRINTED NAtAE: ;SIGNATURE: DOC i}ATE CURRENT DOC, REFERENCE DOC NO VENDOR WMEER and SUFM ACCOUNT NO, ASDNUMRPR 1r>»NDOR MEgSKO; sun TRAILS MASTER SUR OR,I SUB QL SUGSia AlAOUNT IN dlo CODE INDEX .061 ACCT SIGNATURE of ACCOUNTING PRRPAAER FOR PAYMENT DATE - WARRA.NTTOTAL ACCOUPdi UG APPROVAL FOR PAYMENT DATE ------------ ATTN: -A 111son Williams A�E _R ra City of Moses Lake G nt Bars Code - HOMELESS GRANTS B Y� P C 9. GRANT REIMBURSEMENT REQUEST Phone: 5.09�8990978 (SIGNATURE) INSTRUCTION TO VENDOR OR CLAIMANT: CrrY OF MOSES LAKE COMMUNITY DEVELOPMENT Submit this form to request payment fps services or materials. PO BOX 1579 CFO Attach accompanying proof of expenses (1.e, receipts, timesh; .MOSES LAKE, WA 98837-1579 Title -------- M- ---------------- Ok0R,CL.A arra AsI I A VEN Pa to:) We payable REPORT PERIOD/Month Year: VendoesCertificate. Tice individoal sfgnino this voucher belDwwarrants they h have the audiatity HopesourcelCOVID-19 Emergency Housing Funds to do so as auftfted and on. behalf of the entity iidenfifted in ntheVendor/Claimantsection. The Grant Budget se rwients individual signing below aeritries tinder penalty of per)ury that the iterm and totals r5sted herein are 70.0 E Mountain View Ave Suite 601 ' Ite M - proper charges liar materials., mrchandise or services furnished for the Grant, and ifiat aii good's furnished and/or services tendered have been 101311,20 Tio-Date provided VAthouLdisarlrninafidn because rrfage, sex, madtal status, race, creed, color, national Prigin, handicap, religion or Vietna m era or disabled Ellensburg WA.98926 Bail veterans sfahAs. Contact Persom G nn - J� Z. B Y� Phone: 5.09�8990978 (SIGNATURE) EmaW. 70ranWeriod-. .- � �Ivi00000�"&*" -1 ..... 1.- 7/1120-1 /31/21- 7 CFO 02/1112021 Title (DATE) ------- — REPORT PERIOD/Month Year: HReimburLine. om,eless Budget Line -Items: Grant Budget se rwients Aepo lit Ite M - - ------------- - - - -- ------------ 101311,20 Tio-Date eques Bail _Effi H6.bs�fh 6 _f] : COVID19'- ant d -7- -7 Pny 4 $2711 2.0 5 $1 $1297742-9 6 5". - ----------- $0.00 $0.00 j. 1' 000. $277,142.05 _?i 3 114.29 $129,742 .96 ------ ------ --- -------------------- -------- New Grant Balance for Current $1291742.96 Fiscal Year FOR CITY USE ONLY: Voucher Approval signature: Reimbursement Request this Reporting Period DATE: Program Staffing Changes: Please complete monthly to report new or departing PROGRAM staff Staff Cha0 Yes If Yes, enter emptoyee name, job tit[ -e, Et emaiL $132114.99 Hope Source Expanded General Ledger - BL- Grant County CV -19 EMG - Unposted Transactions Included In Report 809202007 - Grant County GOViD-19 Emergency Housing Grant From 1/1/2021 Through 1131/2021 GL Code GL TitleSession ID Transaction Description Divi... Code Division Title Debit 7000 7000 Salaries &Wages Salaries & Woges JVA1373 Opening Balance Allocated line for Admin Allocation 100 Administration 0.00 7100 FICA & Medicare JVA1373 Allocated line for Admin Allocation 100 100 Administration Administration 718.33 Expense 67,43 7101 Employee Tax JVA1373 Allocated line for Admin Allocation 100 Administration 7165 Health Benefits JVA1373 Allocated line for Admin Allocation 100 Administration 166.57 7106 Unemployment Insurance Exp JVA1373 Allocated line for Admin Allocation 100Administration 134.74 5,40 7107 L & I tax expanse JVA1373 Allocated line for Admin Allocation 100 Administration 6.49 7108 Other Benefits JVA1373 Allocated line for Admin Allocation 100 Administration 1 13 8010 Professional Fees JVA1373 Allocated line for Admin Allocation 100 Administration 59.17 8100 8200 00ice Supplies Communication JVA1373 JVA1373 Allocated line for Admin Allocation 100 Administration 21.85 EXpense Allocated line for Admin Allocation 100 Administration 30.30 8300 8350 Postage &Shipping Du' & JVA1373 Allocated line for Admin Allocation 100 Administration 4.72 es Subscriptions JVA1373 Allocated line for Admin. Allocation 100 Administration 3.97 8400 Rona - Space Lower County JVA1373 Allocated line for Admin Allocation 100 Administration 27,55 8405 Utilities - Ellensburg JVA1373 Allocated line for Admin Allocation 100 Administration 5,77 8420=ance- & JVA1373 Allocated lino for Admin Allocation 100 Administration 4.,06 General i .. 8500 Equipment Purchase JVA1373 Allocated Line for Admin Allocation 100 Administration 3,71 8501 Computer ha'dware and JVA1.373 Allocated line for Admin Allocation 100 Administration 43.57 Software 8510 Program supplies JVA1373 Allocated line for Admin Allocation 100 Administration and tools 2.21 85501 Photocopy Expense JVA1373 Allocated line for Admin Allocation 100 Administration 4.10 8675 Advertising Expanse JVA1373 Allocated line for Admin Allocation 100 Administration 9,53 8700 Travel Expense JVA1373 Allocated line for Admin Allocation 100 Administration 0.76 8805 Vehicle Gas & Oil JVA1373 Allocated line for Admin Allocation 100 Administration 4,2 4 8955 Other Direct Services JVA1373 Allocated line for Admin Allocation 100 Administration 27.22 Transaction Total 1.350.82 Date: 2/11121 06:O4,22 PM Credit 1 1 Hope Source Expanded General Ledger - BL- Grant County CV -19 EHG - Unposted Transactions Included In Report 609202007 - Grant County COVID-19 Emergency Housing Grant From 1/112021 Through 1131/2021 Date. 211112106;04:22 PM Page: 2 DIVI... GL Code GL Title Session ID Transaction Description Code Division Title Debit Credit Bal... Administration 1,350.82 100 7000 Salaries & Wages Opening Balance 612... Personnel 0.00 7000 Salaries &Wages CDSPRO1110 Payroll Jan 11- 15, 2021 612... Personnel 4,201.90 476.67 7000 Salaries &Wages CDSPR01 112 Payroll Jan 16-31, 2021 612... Personnel 5,071.15 555.62 7000, Salaries &Wages CDSPROI 117 Accrued Vacation Jan 2021 612... Personnel 59.80 7100 FICA & Medicare GDSPR01 I 10 Payroll Jan 1-15, 2021 612... Personnel 327.69 Expense 7100 FICA & Medicare GDSPR01 112 Payroll Jan 16-31,2021 612 ... Personnel 395.48 Expense 7101 Employee Tax CDSPRO1110 Payroll Jan 1-15, 2021 612 ... Personnel 476.67 7101 Employee Tax CDSPRO1112 Payroll Jan 16-31,2021 612 ... Personnel 555.62 7106 Health Benefits CDSPR011110 Payroll - Jan 1-16 2021 612 ... Personnel 225.50 7105 Health Benefits CDSPRO1112 Payroll - Jan 1-15 2021 612... Personnel 197.27 7106 Unemployment CDSPRO 1110 Payroll - Jan 1-15 2021 612... Personnel 54.92 Insurance Exp 7106 Unemployment CDSPR01 112 Payroll - Jan 1-15 2021 612... Personnel 54.18 Insurance Exp 7107 L & I tax expense ODSPRO1110 Payroll Jan 1-15, 2021 612 ... Personnel 69.67 7107 L & I tax expense CDSPRO1112 Payroll Jan 16-31, 2021 612 ... Personnel 89.59 7108 Other Benefits CDSPR01 I 10 Payroll Jan 1-15, 2021 612 ... Personnel 1.00 7108 Other Benefits CDSPR01 112 Payroll Jan 16-31, 2021 612 ... Personnel 0.43 Transaction Total 11,780.87 1,032.29 Bel... Personnel 10,748.58 612..' 8010 Professional Fees Opening Balance 613 Program Operations 0.00 8010 Professional Fees AP1033170 Volgistics volunteer tracking database, subscription 613 Program Operations 10.00 1-17-2021 to 2-16-2021, EHG 8010 Professional Fees AP1033221 Background checks: Invoice #2212754-12-2020 - 613 Program Operations 1311.75 Chavez Luna 8510 Program supplies AP1033435 ML Sleep center - Supplies - Jan 2021- invoice 613 Program operations 341.88 and tools #14KL-HRPN-WFR4 8510 Program supplies API033435 ML Sleep Center - Supplies - Jan 2021 - Invoice 613 Program Operations 498.77 and tools #IVGG-17MM-C9HL Date. 211112106;04:22 PM Page: 2 GL Code GL Title Session ID 8660 Printing & AP1033390 Rublications Report Opening/Current Balance Report Transaction Totals Report Current Balances Report Differencia Date.- 2111121 06:04:22 Prv1 Hope Source Expanded General Ledger -.BL- Grant County CV -19 EHG - Unposted Transactions Included In Report 609202007 - Grant County COVID-1 9 Emergency Housing Grant From 11112021 Through 1/3112021 Transaction Description ML- Steep Center- Printing publications- Dec 2020 Transaction Total DIVI..' Code Division Title Debit Credit 513 Program Operations 33.19 015 59 Bel— Program Operations 1,015.59 613 0. 0.00 0.00 14,147.28 1,032.29 14,147,28 1,03229 13,114.99 PACIFIC SECURITY a div of Parker Corporate Sues 2009 Iron Street PAGE 1 Bellingham, WA 98225-411 SECURITY UNITED STATES (800)-743-2737 INVOIC DATE 1/31/2021 INVOICE NO 34900 OSESL.O3 City of Moses Lake Allison Williams 401 S Balsam St PO Box 1579 T Moses Labe, VIA 98837 0 1 Moses Lake Sleep Center 045 E Broadway Ave Pbases Labe, INA 98837 T 0 TOTAL DUE 61619.77 SLS1 SLS -2 DUE DATE MSC DUE DATE ORDER NO ORDER GATE SHIP NO 1/3112021 1/31/2021 656 1/31/2021 TERMS DESCRIPTION CUSTOMER PO NO SHIP VISSHIP DATE Due On Receipt 2012-13T 1/31 1 1 32 ITEM IIS TX CL UNITS ORDERED SHIPPED UNIT PRICE EXTENSION Guard Service 0 270.0000 270.0000 23.3500 6,304.50 Holiday (W 0 9.0000 9.0000 35.0300 315,27 Month of Service w W 0 1.0909 i'0000 9.9000 0.00 January riCD CD I 1 1 a1 1 Ln C5LflOmn mOmQ mOLl)QNO momomo momoNOIliamO MC3IS10knOtnOIllONa {t1O • Il 1 1 [ riCfr10HQHOr•Ior-1CDrlC?r-1Orl aHO Hort o.-IGr-iO eI0r40r-Ia rioHar10ciOr!Or[Qri 13 II 1 I 1 • , . r • . ► . . • . ■ . . . t . r • . . e • e . . e a . . rl II I r 0 1I aLrtOaao taot�t�noOc�oot7ocroxaacc�t]tcsooa00000aoc�ot]oaats0 II 1 t ri O dr rC` v t~ Sit f� -41 t` v r~ cr1 tN q N dr t•, r` sr vrr dl t- 4r r� dl L, h tlr rY'dL I- V t` RV r- tP N *t1 d} r I fl [ ► r I N ri M I -I ri ct ri ri r 1 1--[ ri r1 r 1 ri r^I rl rl H r -I M ci r-1 r-1 r t H IO7 ('N 11 1 t 1 Q 11 1 1 t N N 1 1 t ! 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Cq N s -t II t }] pOo CbO�o7Ca aoS O aao0ro000000aa00C3000C?G Qt 1 N N N Nfi(4 N 14 N IN C4 IN N N N N V N N N IN o N N N N N N N N N C4 N N IN N N N N C7 01 11 1 , 1 r-iMNNC*Lrel drdLl11Il1tDIDt* t` aOCilatC�0rlt-1NNMm q, Nit inmLpLD r.- r- OO�C♦100rir-iN Nm m "I m q 11 1 aS 1 fU 1 ra000c7a r�c�orsaoc�c�o+OotarEr[+-Irlrlr-lrir-Irirl�rtr-lrirlrirlrirlrlrir4C vcvi�tNt�t r -I 11 11 i '� 1 44 1 HHr!Ir�-1rir!-I rarar-I-1r`ir\Irir-I rel rirelr-1r\•1rirlrrlrrlr-9rrlC4r!-1r1r!1rrAr-4t`•1t!1riH r`�•1�r-ir-lrte)r-Ir�r![r~1 Hrriir`iref r0 II 1 9 t 1 do00C10na000C00nC?C�t 0000n004 000000 0000 'lOC)C 000000 0 ba 94014 slung Qc 400 Parker Corporate Services - _ )Billing Summary (Detailed) customer _3906 Ciity Of Moses sake: Site: WI Sleep _,_....._...w _.,..»,_.-.�-_..,�__w,.___ .__ Center � __ ,.____.,..__....__----------------------------------------� .___ -_- -------------------------------------------- Status A Sill C yoletPS� Date Stat Employees ., _ ._,___,... w --------------------- - - - - ,. , _ _ , .. _ . _ _ _ _ _ _ » ...... _ _.� . _ _ .. _ _ .. _ . _ �.___. Dept In out Break Total. Type Hours 01/24/2021 Look. ;80365 Lopez, ,.________.__w,____WN1Z1C�42i:Oa~00,Of�«HOM.00p_-_3.0p0~Standard_ Valent.a.n� � __,"___..�_ 01/25/2021 Lock 80356 Lopez, Valentin 3.000 3 as /2 12021 L Sa366 L+opcz, V� e�z�in M110 00:00 06;00 O,gOp 6.000 Standard 6.000 23 01/26/2021 Lock 80366 Lopez, Valentin Milo 21 t 00 00; as o. qo0 3.000 Standard 3.Ogq �� 01/26/202I .Lock . 80366 Lopez, Valentin Oa;Oo 06:00 0.000 6.000 Standard 6.000 23 01/27/2021 Lock 81?366 Lopez, Valentin M110 21:00 00:00 0.000 3,000 Sta�xda:rd 3.000 23 01/27/2021 Lock 60360 Coblos, Michael M110 Oo; 0n X6: 04 0.000 , 000 sa0o Standard s. oop 23 01/26/2021 Lock 8L36J Kob]os,Michael M110 21,00 Oq;7q q,O1q ,000 Standard 3,000 23 01/28/2021. Lack Bt136a Kob7.r�s, Michael M110 OOcOq 06;00 0.000 6,000 Standard 6,000 23 01/29/2021 Lock B0360 Kobloc:, Michael M110 21:00 00; 00 0.000 3.040 Standard 3.000 23 01/29/2021 sock 80360 Kablas, Michael, M1Za 00:00 06r00 0,000 6.0 0 Standard 6.00 23 01/30/2021.Lock 80360 Kcblos, Michael M11.0 21:0p 00:06 0,000 3,000 Standard 3,000 23 01/30/2021 Lack 803616 Lopez, Valentin NT110 00:00 06. 0fl 0.000 6. 000 Standard �. Lioa 2:3 01/31./2021 Lock 80365 Lopez., 'Valentin Milo 21:00 00:00 0.000 3 . L1oa standard 3.000 23 01/31/2021 Lock 80366 Lopez, Valentin, Milo 0000 gC:fJO 0.000 6.000 Standard 6.000 23 1++I110 21:00 Da ;p0 0.000 3.000 Stand.arCi, ---------- 3.000 23 279.000 }( All --------------- �p HVu 7 Hours '/� pyo -��y �1l{Io-unt, --------- 270.000 --------- __ _____.6,304.50 OT 0.000 0.00 DoT 0,000 a.00 Stat .6, 000 31.5.23 Ubbill 6.000 0.00 Other 0.000 0.00 279.000 6,615.73 Allowances ----------------- 0,00 ----------------- Total with Allowances 6,619-73 Page : 2 /04/2021. xo . oo -------------- -------------- e Amount -------------- 0 70.05 0 1.40.1.0 0 70,05 0 140.10 0 70.05 0 140,10 0 70.05 0 140.10 0 70.05 0 1.4,0.10 0 70.05 0 140.10 0 70.05 0 1.40.10 0 70.05 6,619.73 INVOICE Date Invoice 1/5/2021 24,008 Bill To ITT OF MOSES LAKE PO BOX 1579 MOSES LAKE, WA 98837 INVOICE . .............. . Dat. . . .e Invoice . . . . . . . . 1/8/2021 24049 nt Terms Rep ............ -. ... .. Y.•AY�i.�%.cPo�yin6a�9%Y'a4r 1444 Net 30 1/8;2021 2/7/2021 Quantity Description / ch ArnounL 3.6 Propane COM. DEV SLEEP CENTER Saes Tai 8.40 +mak � .. . , .-.. .......... .-. -:. � �... .....:.. ......._.... - -------- IINCE Date Invoice 1/19/2021 24150 Account No., Terms 1 . .��� . Due ' 1444 Net 3 /1912021 2 8 2-0 0.2.0 1 Quantity Item CodeDescription UIQ Price Each _. 7.7 Propane LSO #COMMUNITY DEV SLEEP CENTER 2.70 2 0. 7 9�Tl Sates Tax 8,40 your business, B1(l TO CITY OF MOSES LAKE PO BOX 1579 MOSES LAKE, WA 98837 INVOICE wInvoice �� 24216 Account No. TermsRep - �...y }E _ e 14" Net 30 2/91/2021 Quantity r : tion U Each Amount ..,. �.�:i�sY .....' ...: .esr ...... .......T:E �2��rar 3.7 Propane P # COMMUNITY DEV SLEEP gat 2.65 9,81T CENTER Sales Tax 8,40 0.82 % FTTucr` business. $10.63 INVOICE Date Inyofce # 1/26/2021 24254 CITY OF MOSES LAKE Po BOX 1579 MOSES LAKE, WA 98837 11 -, -$-1 Thank you fog -your -busi.n ess. �'Qtat__ 3,51- �'Ril MR To CITY OF MOSES LAKE PO BOX 1579 MOSES LAKE, WA 98837 Ship To INVOICI Date I nvotce It, ---- -------- 1/29/2021 24302 NSE Date Invoice 2/l/2021243 30 (t To. CITY OF MOSES LAKE PO BOX 1 579 MOSESAKE, WA 98837 FT7ha�'nk-yowfor- your business � Total $10.63 %Y 4 3 > 955 E BROADWAY MOSES LAKE, WA 98837 PHONE** 509-766-0068 841 To CITY OF .MOSES LAKE 0 BOX 1579 MOSES LAKEI WA 98837 INVOICE Dato Invoice /8/2021 244.2 .. Thank you -for .. �.. ,. .... . i ..�, ..�.. . ,.. .,,. ..�.. u.Y....�..>- im...�� i. .....,.. ., .�iw>. .. ....r..ri..,�.. ,wi.�.... r.� ,... .. .. �. dotal $13,51 Invoice -yeration s n Refrit. Ba I I 101 58 Kinder Road ,N -loses 1-ake WA 98837 -M-765-71-318 FAX: 509-765-0979 91-12-114 198 -9 10199.51. Account CITY OF MOSES LAKE P.O. BOX 1579 7 lvloses Lake WA 988 Invoice # P51, 718 Date: 12/16/2020 pag,e # I of I Service At: CITY OF MOSES LAKE 401 S. B-absurn Mo, , qcs L,41 ke WA 98837 ---------------- 2020 1)0 I -i -19868 Contract Claim ff - Job Service Date 12114 -mostats ha been maxed tit tit 15 0.. lReplaced bod-i therraostat:��-, and both cleinents, Water heater nadbeen dry Fired and botil thei no other obvious cion of damage were round. All flowing correctiv., -------------- Description Of Service Quantity Unit Price Extended Price Tru I, S I H) 2 5 S 119,25 LABOWHR S210.00 $210.00 N-V.H. ELEMENTS S55.00 S110.00 UPPER THERMOSTAT LOWER THERMOSTAT S28-50 $2850 Terms.- Due Ujwn Receipt ---------------------------- Stib Towl S.5 05.25 Balanc� Due 65+47;69 Please pa from this Invbice y Basin Reffigeration & Mg. Inc. 10 15 8 Kinder Road Moses Lake WA 98837 509-765-7138 FAX,, 509-765-0979 91-1234 198 Invoice P514883 ceount-#402M-0 --Dalt: ------------------- page ft I of 1. T1qE OPEN DOOR SLEEP CENTER P.O. BOX 1579 Moses Lake WA 98837 Service At: THE OPEN DOOR SLEEP CIENTER 1045 E BROADWAY Moses Lake WA 98837 Service It 2/l/20' " 2 1 PO lu Job # 531968 Contract # Claim 9 ---- - ------------ Electnidal problem reeds to call electritian.. Description Of Service Quantity Unit Extended Price ax Diagnostic and Trip Charge to Moses Lake .Work Authorized $79-50 $79.50 Sub Total $79.50 ML Tax 6.68 Balance Due S86.18 PaLment ....... Terms: Due Upon Receipt ....... Please pay from thi's Invoice — ----- Please Detach and Return w %- -- ltd Remittance 1twK Lnclosed t I I Method of Payment Master Card Visa AtnExp f Discover r 1 Aw Exp Date Name on Card Signalure Remit To: BasinRefrigeration & Htg. Inc* --D ----- ---- -- -------------------- ------------- - ------ -- - - ------ --- MOses Lake WA 9,383j7 Invoice # P514883 Date 2/2/2021 --- Account # 1026105 THE OPEN ]DOOR SLEEP CENTER Amount Due Amount Paid E:,, Bill TO City of Muses Lake P.O. Box 1579 MOSES LAKE, WA 98837 Finance charges on past due uccGuuts are 1.5% per mouth (18% annually), 'Where will also be a $35 Dollar Fee for returned checks. Your Lowe's Receipt Thanks for shopping at Lowe's. Use this 'ust like you would a i . paper receipt for proof of purchase, record eeI.-inkreturns and more. ping, LOWE'S HOME CENTERS, LLC 1400 E. YONEZAWA BLVD,, MOSES LAKE , WA 98837 (509) 764-2600 Item Price WP 16 -OZ CURVE CLAW HAMMER $6,63 Item #,, 753548 6.98 Discount Ea -0.35 1 @ &63 3 -PACK METAL STAKES $7.94 Item #. 880088 4.18 Discount Ea -021 2 @ 3.97 PROPANE (NO TANK EXCH) - BL RHINO $94,94 Item #.* 7383 49.97 Discount Ea -2.50 ----------- 2 @ 47-47 ---------- I PROMOTIONAL DISCOUNT APPLIED $0.00 Item * 155670 1 @ 0.00 Invoice 1801 Subtotal $109.51 Invoice 1801 Subtotal 11r, $1051 9- - Subtotal. $109.51 Total Tax $9.20 Total $ 11871 Total Discount: $5.77 Total # of 'Items purchased.* 3 Excludes fees, services and special order itern8 Payment-,-, LAR endingin 8695 $118-71 AuthTime 01/20/21 12:40:48 AuthCD 001008 KEYED REF ID 378379 Authorized Buyer EMPLOYEE ANY Account Name CITY OF MOSES LAKE ACCOUNT WILL BE BILLED UPON MERCHANDISE TRANSACTION DATE FOR STOCK MERCHANDISE AND No LATER THAN 90 DAYS FROM TRANSACTION DATE FOR SOS OR DIRECT DELIVERY MERCHANDISE. Order Date 01/2012112-40:56 Store # 2956 Terminal # 1 Store Manager JASON SCREED Tell us how we did! Enter for a chance to int SHARE YOUR FEEDBACK! 2 * ENTER FOR A CHANCE TO BE * ONE OF FIVE $500 WINNERS DRAWN MONTHLY! iENTRE EN EL SORTS O MENSUAL PARA SER UN O DE LOS CINCO GANADORES DE $500! E4R-BY G -G-111,111111 ------------ MVr-T WITHIN ONE WEEK AT: wr.[ es, com/s urvey Y 0 U R I D #018017 295640 201587 NO PURCHASE NECESSARY TO ENTER OR WIN. VOID WHERE PROHIBITED. MUST BE 18 OR OLDER TO' ENTER. OFFICIAL RULES & WINNERS AT: www.lowes.com/survey Thank you for shopping at Lowe's. To see our return policy, visit Lownes.com/retU rns LOWE'S, PRICE MATCH GUARANTEE FOR MORE DETAILS, VISIT LOWE S.COM/PRICEMATCH This email is sent. from an unmonitored mailbox, If you need to speak to someone about your purchase,, please call the store using ng the number at the top of the receipt. 3 Expenses Grantee Subcontractor #1 Subcontractor'#2 Subcontractor#3 Subcontractor #4 Subcontractor #5 Subcontractor I Admin _ • , ,.._ , :. _, .$3 660.25 '. $3,6 60.25 HMIS $0.00 Training (unique activity $0.00 Street Outreach Outreach Essential Services $0.00 Hazard Pay (unique activity) $0.00 Handwashing stations/portable bathrooms (unique activity) Volunteer Incentives (unique activity) $0.00 Training (unique activity) $0.00 Subtotal Street Outreach $0.00 $0.00 E r n Shel er Permanent me e t • Serv�c s , , Shelter Case Mana ement mcludin CE and Essential, a ,•. :��,; �� �. , ,.. ,::.; . •.�,, :,,=: ,�:�. ,.,,. ;,,: 13 114.99 ,• : ;..: ��: , ,, _ ,,. ... �'; ,. _ _ $ ` $13,114.99 _.: _ _ Shelter O07.01 perations . , -. _ ;:. , ., • . _ . ..... , ,, 8 507.01 :.:. . , . _ ... , ..: _ $ $8,5 Renovation 0.00 ehabilftation $0.00 C rivers►"o n 0 0 00 H$0.00 Pa un► ue octfv► 0.00 Volunteer. Incentwes unl ue actfv► ; 0.00' ..: Trainingun►que:.act►v► ;, • ;., , ,::_ .., ;. , , . . •• .._ ,, Subtotal,.Permanent. Emer en Shelter . _ .•. , _ .. 21 . 00 , ......• $ , 622 $2 1,622.00 Temporary Emergency Shelter Shelter Case Management(including CE and Essential Services) : $0.00 Shelter Operations $0.00 Leasing existing real property or temporary structures $0.00 Acquisition $0.00 Renovation $0.00 Hazard Pay (unique activity $0.00 Volunteer Incentives (unique activity) $0.00 Training (unique activity) $0.00: Other Shelter Costs $0.00 Subtotal Tempora Emergency Shelter $0.00 $0.00 Rapid Rehousing RRH Rental Assistance $0.00 RRH Other financial Assistance $0.00 RRH Case Management (including CE and Essential Services) $0.00 Hazard Pay unique activity) $0`00 Landlord Incentives (unique activity) $0.00 Volunteer Incentives (unique activity) $0.00 Training (unique activity) $0.00 Subtotal Rapid Rehousing $0.00 1$0.00 Homelessness Prevention Prevention Rental Assistance $0.00 Prevention Other Financial Assistance $0.00 Prevention Case Management (including CE and Essential Services) $0.00 Hazard Pay (unique activi ) - $0.00 Landlord Incentives (unique activity) $0.00 Volunteer Incentives unique activity) $0.00 Training (unique activity) _ $0.00 Subtotal Homelessness Prevention $OAO $0.00